Organization
LAINE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LAINE (CHIROPRACTIC/PRESIDENT)
(718) 951-0484
Entity
Organization
Contact information
Practice address
1706 FLATBUSH AVE, BROOKLYN, NY 11210-3943
(718) 812-2245
Mailing address
1706 FLATBUSH AVE, BROOKLYN, NY 11210-3943
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207Q00000X
Family Medicine Physician
2187382
NY
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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